Senior Care Records.

Facility Evaluation Report

Montgomery Springs Manor, Hayward02/23/2024Licence 015601506

Capacity15
Census13
Date signed02/23/2024 02:14:06 PM
The inspector’s account

On 2/23/2024 at 1:20pm Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Mirriam Paras, Administrator, and explained the purpose of the visit.

While LPA L. Hall was conducting a complaint investigation (15-AS-20240221085509) on 2/23/2024. While touring facility LPA observed residents' beds did not have a mattress cover, top sheet, and some did not have a blanket. Staff stated beds are changed weekly or more often if necessary. LPA also observed two (2) slide latch locks on front entry/exit door. Staff 1 (S1) stated during interview that facility uses lock at night for a resident that wanders.

The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties.

Exit interview conducted. A copy of this report and appeal rights provided

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction